At The Center for Stress and Anxiety Management, our psychologists have years of experience. Unlike many other providers, our clinicians truly specialize in the diagnosis and treatment of anxiety and related problems. Our mission is to apply only the most effective short-term psychological treatments supported by extensive scientific research. We are located in Rancho Bernardo, Carlsbad, and Mission Valley.

May is Mental Health Awareness Month. Every year, Mental Health America designates a particular theme for the month to highlight an important aspect of mental health. This year’s theme is Fitness #4Mind4Body, and it focuses on acknowledging the connection between mental and physical wellbeing. #4Mind4Body explores the role of nutrition, exercise, the gut-brain connection, sleep, and stress in our overall wellbeing and examines the ways each of these areas impact our functioning. Below is a summary of the topics covered in the Mental Health Toolkit from Mental Health America.

Diet and Nutrition

Eating a well-balanced, nutritious diet is an integral part of health. Diets high in processed, fried, and sugary foods can increase the risk not only for developing physical health problems like diabetes, heart disease, obesity, and cancer, but are also linked to mental health problems, including increased risk for depression symptoms. A healthy diet consists of a variety of fruits, vegetables, legumes, whole grains, fish, nuts, and olive oil. Maintaining a balanced, nutritious diet is linked with a lower risk for depression and even an improvement in depression symptoms.

Exercise

Regular exercise not only helps control weight, increase strength, and reduce the risk of health problems like high blood pressure, cardiovascular disease, and some cancers, but it also helps boost endorphins and serotonin, among other important proteins and neurotransmitters that impact mental health. Endorphins serve to mitigate pain in the face of stress and increase pleasure in the body. Serotonin affects appetite, sleep, and mood, and is the target of SSRIs, a class of antidepressant commonly used to treat anxiety and depression. Just thirty minutes of exercise per day can help improve mood and mental health.

The Gut-Brain Connection

The gut, also known as the “second brain,” communicates directly with the brain via the vagus nerve and via hormones and neurotransmitters. The communication goes both ways, so anxiety, stress, and depression can impact the gut and result in gastrointestinal symptoms, but changes in the gut microbiome can impact the brain and mood, exacerbating or even resulting in symptoms of anxiety and depression. Eating a nutritious diet that includes prebiotics and probiotics is an important part of maintaining a healthy gut and a healthy mind.

Sleep

Quality of sleep impacts the immune system, metabolism, appetite, the ability to learn and make new memories, and mood. Good sleep for adults means getting between 7-9 hours of mostly uninterrupted sleep per night. Problems with getting good quality sleep can increase the risk of developing mental health symptoms, and symptoms of anxiety and depression can negatively impact sleep, creating a negative cycle. Cognitive Behavioral Therapy for Insomnia (CBT-I) can help clients reestablish healthy sleep patterns through addressing negative thoughts and worries as well as behavioral patterns that are impacting sleep habits.

Stress

Stress is a normal part of life, and the body is equipped with a fight or flight response designed to help mobilize internal resources to manage stressors. After the stress has passed, the body can return to its regular equilibrium state. However, when stress becomes chronic, it can cause inflammation, impaired immune system functioning, muscle aches, gastrointestinal problems, sexual dysfunction, changes in appetite, and increased risk for heart disease. Too much stress can also impact mental health.

Mental health involves a complex interplay between numerous factors, including but certainly not limited to the areas listed above. Furthermore, though maintaining a healthy diet, regular exercise routine, good sleep habits, and utilizing stress management techniques can help prevent or improve existing mental health symptoms, if you are struggling with mental health issues, it can be difficult to attend to these areas.

If you are struggling with anxiety, stress management, depression, chronic illness, or insomnia, seeking professional assistance can be helpful. Evidence based therapies like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help to address problematic thoughts and behaviors that are contributing to emotional distress. Therapy offers a warm, supportive, safe environment to explore painful issues. A therapist can also provide support in helping the client to develop good self-care habits, like those mentioned above.

This year’s mental health awareness theme reminds us of the importance of recognizing the multiple avenues through which we can approach mental health, and the variety of tools we have at our disposal to improve overall wellbeing.

CSAM IS HERE TO HELP

If you or someone you love might benefit from cognitive behavioral therapy (CBT) or acceptance and commitment therapy (ACT) for anxiety, depression, stress, PTSD, insomnia, or chronic illness, or if you would like more information about our therapy services, please contact us at (858) 354-4077 or at info@csamsandiego.com

Whether or not you struggle with an anxiety disorder, we have all found ourselves overwhelmed by stress or anxiety at some point. We each have slightly different stressors that trigger our body’s natural stress response, but we all know what the response feels like: sweaty palms, racing heart, tense muscles. This bodily reaction can feel overwhelming, as if it controls us. It is easy to feel powerless to our biological response to stress, but we have more control than we think.

THE STRESS RESPONSE

Before we deem our biological reaction to stress bad, let’s talk about what happens and what purpose it serves. When we get stressed out or anxious, our body begins preparing us to face threat. Stress activates our sympathetic nervous system, triggering the fight-flight-or-freeze response. This causes the sweaty palms, racing heart, panicky breathing and muscle tension (McGonigal, 2013). We often look at the stress response as inherently bad, because it is not healthy to be in the fight-flight-or-freeze mode chronically (McGonigal, 2013). However, it’s important to remember that when your heart starts racing or your palms get sweaty, your body is just trying to help prepare you. Nevertheless, these sensations can feel overwhelming, and perpetuate our experience of anxiety. So how can we calm ourselves down once this cycle is in motion?

DEEP BELLY BREATHING

Using our breath, we actually have the power to activate our parasympathetic nervous system. The parasympathetic nervous system allows our body to “rest and digest” as opposed to the sympathetic nervous system’s fight or flight response (Hunt, 2016). While “take a deep breath” is common advice, how we actually take that breath is important. This is how to use the breath to calm down:

Find a comfortable, relaxed seated position with your feet planted on the ground; alternatively, you can try breathing laying down. Now begin to bring your focus to your breath.

With each breath, your belly should rise as you inhale and fall as you exhale.

Your shoulders and chest should remain still. If you notice your shoulders rise, or your chest move, drop the breath down to the belly. Breathing into your chest is reminiscent of hyperventilating, which will only further activate your sympathetic nervous system (Hunt, 2016).

Now focus on breathing into your belly for four counts. Hold your breath for a second or two. Now exhale for five counts and relax (Hunt, 2016). Repeat this process, focusing on your inhalations and exhalations, and making your belly rise and fall.

You may notice that your heart rate speeds up at first. Don’t panic or give up. Your body is not used to calming itself down, and is simply adjusting. After a few cycles of inhaling and exhaling, you should notice your heart rate begin to relax.

If you begin to get distracted or thoughts pop into your mind, simply notice they are there and then come back to focus on the breath.

See if you can practice doing four or five deep belly breaths a day. Then see if you can work your way up to thirty seconds at a time. Then maybe a minute. Eventually, you will be able to sit in this space with your breath for a long period of time.

Being able to tap into your breath to find a calm, centered space, no matter where you are, is an invaluable resource. This diaphragmatic breathing essentially turns off your sympathetic nervous system and turns on your parasympathetic nervous system (Hunt, 2016).

This is not to say that you will never feel stressed again, or that you will never experience the fight-flight-or-freeze response. But using deep belly breathing can help you to calm your body down and lessen the biological reaction to a stressful situation.

CSAM IS HERE TO HELP

If you or someone you love might benefit from acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), or biofeedback for anxiety, depression, stress, or PTSD, or if you would like more information about our therapy services, please contact us at (858) 354-4077 or at csamsandiego@gmail.com.

Workplace Stress and Anxiety

“One-fourth of employees view their jobs as the number one stressor in their lives” -Northwestern National Life

Image source: http://www.investwithalex.com/killing-stress/

Stress and anxiety typically occur when there is a perceived threat and a lack of resources to cope with this threat. Unfortunately, it is often the case that our jobs become a major source of stress and anxiety in our lives, and are a source of stress over which we may have limited control. Job or workplace stress may affect not only our quality of life, but our ability to do well in our careers. Many workers suffer from excessive stress and anxiety as a result of various job-related stressors. The importance of learning to reduce and manage workplace stress cannot be ignored, particularly when we remember that our jobs may affect multiple domains in our lives, including our time, energy, financial security, and possibly even our sense of satisfaction or purpose in life.

What makes a job stressful? Generally, job stress is a result of an interaction between the worker and the working conditions. In other words, certain people will be more stressed by certain jobs. The personality or coping style of the individual may not be a good fit for the demands of a particular type of job. Some people thrive in fast-paced settings, and others are worn down by them. When the job is not a good fit for the person, typically job stress will occur.

Though unique worker characteristics often affect a person’s sense of stress in the workplace, for most people, feeling overtaxed, overworked, and minimally supported are universal recipes for increased job stress. Other sources of job stress may be certain workplace conditions that lead to stress, as identified by the CDC’s National Institute for Occupational Safety and Health (see NIOSH job stress article here), including the design of tasks (i.e. workload, breaks, length of workdays, tasks that don’t having meaning or provide a sense of control),management style (i.e. poor communication, not involving employees in decision-making), interpersonal relationships (i.e. lack of support from coworkers or supervisors, conflict with coworkers), work roles (i.e. unclear expectations or too many job responsibilities), career concerns (i.e. job insecurity, no room for growth), and environmental conditions (i.e. potentially dangerous working conditions, including crowding, noise, pollution, ergonomic problems). Universal psychological factorsdiscussed in this APA blog that often lead to job stress include a sense of powerlessness and traumatic events that occur while on the job.

“Three-fourths of employees believe the worker has more on-the-job stress than a generation ago” -Princeton Survey Research Associates

Unfortunately, workplace stress can have a profound impact on our physical and emotional well-being. Research on job stress, as summarized by NIOSH, has found that job stress can lead to increased risk of workers developing cardiovascular disease, musculoskeletal disorders, psychological disorders, workplace injuries, and possibly even increased risk of suicide, cancer, ulcers, and impaired immune function.

“According to data from the Bureau of Labor Statistics, workers who must take time off work because of stress, anxiety, or a related disorder will be off the job for about 20 days.” - Bureau of Labor Statistics

Stress not only affects the quality of life of workers, it also compromises their ability to perform optimally (or sometimes even adequately) at their jobs. NIOSH has found that job stress may lead to an increase in absenteeism, tardiness, and intentions by workers to quit their jobs, which negatively impacts the bottom line. Essentially, more burnout from stress leads to more sick days and performing poorly at work. Ultimately, the business suffers as well as the employee. The NIOSH task force also identified characteristics possessed by “healthy” organizations that are low in job stress and high in levels of productivity, which include: a recognition of employees for good work performance, opportunities for career development, an organizational culture that values the individual worker, management actions that are consistent with organizational values. When employers or organizations take preventative actions by taking good care of their employees, this often benefits the business in the long run.

Image credit: http://www.startyourbusinessmag.com/free-workshops/

A combination of stress management training and organizational change is typically needed to prevent and reduce job stress and its consequences on workers and workplace productivity. Organizational change directly targets the systemic sources, or environmental “triggers” of job stress, and stress management training helps employees to learn better approaches to coping with stress. Stress management workshops often focus on teaching the worker how to better understand what causes stress, how it affects their well-being, what coping techniques are optimal (such as relaxation exercises or mindfulness practice), and how they can better manage their time (i.e. time management skills). These types of trainings often lead to an immediate reduction in workers’ stress, anxiety, and sleep difficulties. Other stress-reduction programs may focus on other aspects of health and well-being, such as nutrition, exercise, assertiveness, and social skills training. However, without complementary organizational change, stress management training may not have a long-term impact on employees’ well-being.

Ultimately, stress both inside and outside of the workplace can have a significant impact on our ability to thrive. Selecting the most supportive work environment possible, and learning how to effectively manage stress, can potentially tremendously impact not only psychological and physical well-being, but work-performance and success as well.

Are you currently experiencing workplace stress that you would like additional help with? Contact us here to set up an appointment with one of our therapists, who use evidence based approaches to stress management and reduction.

Make the most of workday breaks. Even 10 minutes of "personal time" will refresh your mental outlook. Take a brief walk, chat with a co-worker about a non-job topic or simply sit quietly with your eyes closed and breathe.

If you feel angry, walk away. Mentally regroup by counting to 10, then look at the situation again. Walking and other physical activities will also help you work off steam.

Set reasonable standards for yourself and others. Don't expect perfection. Talk to your employer about your job description. Your responsibilities and performance criteria may not accurately reflect what you are doing. Working together to make needed changes will not only benefit your emotional and physical health, but also improve the organization's overall productivity.

Are you an employer who would like to learn more about reducing stress in your workplace? CSAM is proud to offer stress management workshops and trainings to businesses in the San Diego community. If interested in scheduling a stress management workshop for your business, please contact us at 858-354-4077 or click here.